Individual
KURITA POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSHA,CCMA
Contact information
Practice address
602 HUMMINGBIRD WAY, SUISUN CITY, CA 94585-2208
(707) 386-0414
Mailing address
602 HUMMINGBIRD WAY, SUISUN CITY, CA 94585-2208
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
374J00000X
Doula
Primary
—
—
Other
Enumeration date
05/19/2023
Last updated
12/05/2023
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